COREY JOHN KOLL

GRAND RAPIDS, MI
NPI1649787128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601008527)
Enumeration Date2018-01-05
Last Update Date2018-01-05
Business Address
COREY JOHN KOLL PA-C
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
Mailing Address
COREY JOHN KOLL PA-C
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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